Microdialysis analysis of effects of loop diuretics and acetazolamide on chloride transport from blood to CSF

Brain Res. 1994 Mar 28;641(1):121-6. doi: 10.1016/0006-8993(94)91823-6.

Abstract

With the hypothesis that the NaCl cotransporter in mammalian choroid plexus (CP) has a role in CSF formation, we postulated that loop diuretic agents would curtail transport of Cl from blood to CSF. Microdialysis in the cisterna magna of Sprague-Dawley rats was used to assess the ability of furosemide and ethacrynic acid (i.e. loop agents that interfere directly with cotransport) to inhibit 36Cl transport from blood to CSF over a 3-h period. Cl uptake by CSF was quantified as % volume of distribution (Vd) of 36Cl, i.e. 100 x cpm/g CSF divided by cpm/ml plasma. Uptake curves of Vd vs. time were constructed for the various treatments; then, to compare drug effects, the curves were analyzed for: (i) the early slope of uptake (Kin), (ii) the steady-state value for Vd, and (iii) the area-under-curve (AUC). Assessment of the curve parameters collectively revealed that at 5 mg/kg, both furosemide (FUR) and ethacrynic acid (EA) reduced Cl penetration into CSF by one quarter; at 50 mg/kg, these loop agents decreased Cl uptake by about a third. On the other hand, 50 mg/kg of the carbonic anhydrase inhibitor, acetazolamide, reduced Cl uptake into CSF by 55-60%. Thus, NaCl cotransport inhibitors maximally reduced Cl transport in the rat by about 35%; this inhibition was less extensive than that brought about by acetazolamide, which interferes with CSF secretion by a different mechanism.

Publication types

  • Research Support, U.S. Gov't, Non-P.H.S.
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Acetazolamide / pharmacology*
  • Animals
  • Biological Transport / drug effects
  • Blood Pressure / drug effects
  • Cerebral Ventricles / drug effects
  • Cerebral Ventricles / metabolism
  • Chlorides / blood
  • Chlorides / cerebrospinal fluid
  • Chlorides / pharmacokinetics*
  • Choroid Plexus / drug effects
  • Choroid Plexus / metabolism
  • Cisterna Magna
  • Ethacrynic Acid / pharmacology*
  • Furosemide / pharmacology*
  • Male
  • Microdialysis
  • Rats
  • Rats, Sprague-Dawley

Substances

  • Chlorides
  • Furosemide
  • Ethacrynic Acid
  • Acetazolamide